Exploring Si-phthalocyanines with different valency for PSMA-targeted photodynamic therapy: Synthesis and preclinical

Valentina Dinatale1, Martina Capozza2, Rachele Stefania3

  • 1Department of Molecular Biotechnology and Health Sciences, University of Turin, Piazza Nizza 44bis, Turin, Italy; Department of Radiology and Nuclear Medicine, Erasmus MC Cancer Institute, Erasmus University Medical Center, 's-Gravendijkwal 230, Rotterdam, the Netherlands.

Insights

Researchers developed a new bivalent silicon-phthalocyanine (SiPc) for targeted photodynamic therapy (PDT) in prostate cancer. This PSMA-targeted agent shows enhanced specificity and potent tumor inhibition, offering a promising theranostic approach.

Area of Science:

  • Biomedical Engineering
  • Oncology
  • Photochemistry

Background:

  • Prostate cancer treatment faces challenges with recurrence and invasiveness of current therapies.
  • Photodynamic therapy (PDT) offers a less invasive treatment modality.
  • Targeting prostate-specific membrane antigen (PSMA) enhances treatment specificity.

Purpose of the Study:

  • To develop and preclinically validate novel silicon-phthalocyanine (SiPc)-based photosensitizers (PSs) targeted to PSMA for prostate cancer PDT.
  • To compare the efficacy and specificity of monovalent versus bivalent PSMA-targeted SiPcs.
  • To evaluate the theranostic potential of these agents.

Main Methods:

  • Synthesis of monovalent (SiPc-PQ-PSMAi) and bivalent (SiPc-PQ-(PSMAi)2) PSMA-targeted SiPcs.
  • Evaluation of optical properties, aggregation, and target specificity.
  • In vitro cellular assays for uptake and phototoxicity (reactive oxygen species generation).
  • In vivo studies assessing tumor uptake and therapeutic efficacy in a preclinical model.

Main Results:

  • The bivalent SiPc-PQ-(PSMAi)2 exhibited superior optical properties and reduced aggregation compared to the monovalent form.
  • Enhanced PSMA-specific uptake and potent photoinduced cytotoxicity were observed for the bivalent agent.
  • Significant inhibition of tumor growth was achieved post-PDT with the bivalent SiPc-PQ-(PSMAi)2.
  • The bivalent agent demonstrated high specificity for PSMA-expressing cells and tumors.

Conclusions:

  • Bivalent SiPc-PQ-(PSMAi)2 is a highly effective agent for PSMA-targeted photodynamic therapy in prostate cancer.
  • This agent shows potential as a theranostic tool, combining imaging and therapeutic capabilities.
  • Further clinical evaluation is warranted to establish its role in improving prostate cancer management and reducing recurrence.